Active NPI
Lucia Tanzil DDS Inc
- Oral and Maxillofacial Surgery (Dentist)
- San Jose, CA
National Provider Identifier
1013621408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- LUCIA TANZIL DDS INC
- Practice address
- 2211 Moorpark Ave Ste 100
San Jose, CA 95128-2655 - Phone
- (408) 298-5959
- NPI assigned
- Jan 10, 2023
- Last updated
- Jan 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucia Tanzil, DDS
- Title
- Doctor
- Phone
- (408) 298-5959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
2211 Moorpark Ave Ste 100
San Jose, CA 95128-2655
Mailing address
2211 Moorpark Ave Ste 100
San Jose, CA 95128-2655
Phone (408) 298-5959
National Provider Directory
National Provider DirectoryLocations
2211 Moorpark Ave
Ste 100
San Jose, CA 95128
Phone (408) 298-5959
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1730675109
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1275552374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673308800000",
"number": "1013621408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 MOORPARK AVE STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282655",
"telephone_number": "408-298-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MOORPARK AVE STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282655",
"telephone_number": "408-298-5959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCIA TANZIL DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A",
"authorized_official_last_name": "TANZIL",
"authorized_official_first_name": "LUCIA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "408-298-5959",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.